Individual
BROGAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
Mailing address
1128 BROOKS BRIDGE RD, LOOGOOTEE, IN 47553-5761
(812) 661-0197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011503A
IN
Other
Enumeration date
10/09/2014
Last updated
02/26/2020
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